Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.48 / $633.88 / $633.88	Facility		$429.48	$633.88	$633.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.45 / $429.48 / $441.16	Professional		$387.45	$429.48	$441.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $169.00 / $169.00	Facility		$169.00	$169.00	$169.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $88.76 / $88.76	Professional		$64.84	$88.76	$88.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $778.50 / $937.50 / $1,035.75	Professional		$778.50	$937.50	$1,035.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $429.48 / $708.64	Facility		$69.11	$429.48	$708.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $61.31 / $64.84	Professional		$55.14	$61.31	$64.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $64.84 / $64.84	Facility		$64.84	$64.84	$64.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $61.31 / $64.84	Professional		$57.21	$61.31	$64.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.10 / $224.18 / $224.18	Professional		$177.10	$224.18	$224.18